Gary Theragood
NPI #1104067743 in Victorville, California
Provider Information
- NPI Number
- 1104067743
- Entity Type
- Individual
- Name
- Gary Theragood
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Mar 11, 2009
- Last Updated
- Sep 18, 2018
Practice Location
- Address
- 15095 AMARGOSA RD STE 208
- City
- Victorville
- State
- California
- ZIP Code
- 92394-1879
- Phone
- (760) 245-4695
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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